Avaliação das ações da Fonoaudiologia no NASF da cidade do Recife

Abstract

Objetivo : Avaliar as ações da Fonoaudiologia nos Núcleos de Apoio à Saúde da Família da cidade do Recife (PE). Métodos : Foi realizado um estudo de avaliação com abordagem normativa, considerando os aspectos relacionados à estrutura e processo. Para a avaliação, foi elaborado o modelo lógico da atuação fonoaudiológica no Núcleo de Apoio, a partir da análise dos documentos oficiais que regulamentam a atuação nos Núcleos de Apoio à Saúde da Família. Em seguida, foi construída uma matriz de avaliação e elaborado o instrumento para a coleta de dados. Foram entrevistadas dez fonoaudiólogas integrantes das equipes NASF do município pesquisado. Para definição do grau de adequação das ações fonoaudiológicas no NASF, foi utilizado um sistema de escores que permitiu classificá-las em adequadas (75-100%), parcialmente adequadas (50-74,99%), incipientes (25-49,99%) e críticas (<24,99%). Resultados : O modelo lógico resultante deste estudo apontou para uma atuação fonoaudiológica fundamentada no Apoio Matricial e com atividades de apoio à Atenção e à Gestão. Em relação à avaliação das ações, as dimensões “estrutura” e “processo” foram classificadas, respectivamente, como incipiente e adequada. Considerando as duas dimensões avaliadas, as ações da Fonoaudiologia no NASF puderam ser consideradas adequadas. Conclusão : A Fonoaudiologia tem desempenhado de forma coerente seu papel nos NASF da cidade do Recife. Embora sua atuação seja fundamentada no processo de trabalho, aponta-se a necessidade de intervir em questões relacionadas à estrutura, a fim de aprimorar o desenvolvimento das ações realizadas nesse contexto.

Oferta da Fonoaudiologia na rede pública municipal de saúde nas capitais do Nordeste do Brasil

“…Historically, this professional has been practiced strictly from a clinical point of view, with great value placed on specialist professional and the level of priority intervention at the secondary level of care (17) . However, with the creation of SUS and, latterly, with the 2008 emergence of Family Support Health Centres (Núcleos de Apoio à Saúde da Família: NASF), in which it is expected that SLH professionals will play an important role in the organization of the health system and the transformation of health service practices (18,19,20) within SUS, Primary Care has become an important sphere of operation for these professionals (17) . In the Northeast, this change is very well represented in João Pessoa, where we identified an evolution of the operations of SLH professionals in Primary Care between the periods prior to (2007) and following (2014) the establishment of the NASF.…”

Atuação do profissional de Educação Física nos Núcleos de Apoio à Saúde da Família: um levantamento nacional

“…Among speech therapists from the city of Recife, it was found that the matrix support actions of NASF held in combination with the basic team overlapped clinical care rehabilitation 30 , which demonstrates organization of the staff in meeting the demand for shared consultation, which as recommended, should only take place in specific cases 13 .…”

Changes in the profile of speech-language therapists from Paraná and Santa Catarina from 2000 to 2011

“…It is understood that bringing speech-language therapists closer to these diverse realities assumes that their initial and ongoing training must consider the guidelines contained in public health and education policies while providing support for the systematization of speech-language actions that consider the social determinants involved in professional activity (6,7,10,11) . Regarding the academic background of the respondents and their institution of origin, it was found that in 2000 and 2011, the majority of respondents had completed an undergraduate degree in speech-language pathology within the Board's jurisdiction.…”

“…The rise of the number of respondents employed in public institutions, as observed in the present study, follows the expansion of speech-language therapists working in the national healthcare system (4,7) , observed since 1990 due to: the creation of the Brazilian Society of Speech Committee of Public Health (12) ; changes to the national curriculum guidelines for undergraduate courses in speech-language pathology, which now prioritize country's healthcare system (13) ; teamwork and attention to comprehensive health and the inclusion of speech-language therapy in services related to the Family Health Strategy (6) . And finally, regarding changes related to the workplace, it is noteworthy that the increase of respondents' activity in regular schools and a reduction of activity in special schools are linked to Brazilian educational policies that state the education of students with special educational needs (PNEEs) must occur in the regular school system.…”

“…They involve regional differences that determine the various profiles Brazilian speech-language therapists should have (1,2) . Studies on the insertion of the speech-language therapists in various regions of Brazil and their different areas of expertise allow us to construct a historical overview of the profession and provide elements for the assessment of their social roles (3)(4)(5)(6)(7) . This study aims to conduct a comparative analysis of the profile for speech-language therapists working in the states of Santa Catarina and Paraná in 2000 and 2011.…”